Dr Kamal Pradhan, MD | |
358 E Chicago St, Suite 202, Coldwater, MI 49036-2072 | |
(517) 279-5252 | |
Not Available |
Full Name | Dr Kamal Pradhan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 358 E Chicago St, Coldwater, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538187877 | NPI | - | NPPES |
1230291 | Other | MI | PHP/IBA |
4220808 | Medicaid | MI | |
3501200712 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301075578 (Michigan) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Kamal Pradhan, MD 274 E Chicago St, Coldwater, MI 49036-2041 Ph: (517) 279-5400 | Dr Kamal Pradhan, MD 358 E Chicago St, Suite 202, Coldwater, MI 49036-2072 Ph: (517) 279-5252 |
Dr. Edelwina Dy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 358 E Chicago St, Suite 202, Coldwater, MI 49036 Phone: 517-279-5252 | |
Dr. Arivoli Veerappan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 358 E Chicago St, Suite 202, Coldwater, MI 49036 Phone: 517-279-5252 | |
Dr. Mehalai Arivoli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 390 E Chicago St, Coldwater, MI 49036 Phone: 517-924-1465 | |
Dr. Emad Kassas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 358 E Chicago St Ste C, Coldwater, MI 49036 Phone: 519-819-8583 |